ISRAEL THIAGO BENEDITO

SALT LAKE CITY, UT
NPI1780225656
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2019-10-02
Last Update Date2019-10-02
Business Address
ISRAEL THIAGO BENEDITO
4460 S HIGHLAND DR STE 210
SALT LAKE CITY, UT 84124-3550
Phone number: 888-949-4864
Mailing Address
ISRAEL THIAGO BENEDITO
4460 S HIGHLAND DR STE 210
SALT LAKE CITY, UT 84124-3550
Phone number: 888-949-4864